| [ Summary ] |
There are 45 home hemodialysis (HHD) patients in our clinic. Twenty-four HHD patients receive daily hemodialysis. Advantages, disadvantages and problems patients experience with daily hemodialysis in our clinic compared to the current state of conventional hemodialysis and HHD in Japan are examined. Laboratory data concerning patients receiving daily hemodialysis exhibited levels of lower urea, creatinine, potassium and phosphorus, but higher albumin and hemoglobin levels. Dialysates for five patients receiving daily nocturnal HHD were given increased levels of phosphates. Both systolic blood pressure and diastolic blood pressure were lowered. Unpleasant symptoms caused by renal failure such as skin pigmentation, itching, restless leg syndrome, abnormal sweating, and insomnia were not observed. The quantities of medications were low. The primary medication was active vitamin D3. Antihypertensive drugs were used by only four patients. The diets of daily hemodialysis patients were the same as those of their families. Their complexions were good and their energy levels increased when they received daily hemodialysis. Patients receiving peritoneal dialysis may be good candidates for this type of treatment because they were informed that dialysis must be performed daily and slowly. HHD combination therapy using peritoneal dialysis and hemodialysis may provide new treatment options. |